Filing · f0231
EmblemHealth Medicare H3330
EmblemHealth · Medicare Advantage · NY · H3330 · CY2025
In 2025 this plan received 73,246 standard prior authorization requests and denied 7.7% of them. The median for Medicare Advantage plans of comparable size is 10.9%.
Standard denial rate
7.7%
73,246 standard requests, 5,671 denied.
Requests and outcomes
| Total | Approved | Denied | Denial rate | |
|---|---|---|---|---|
| Standard | 73,246 | 67,575 | 5,671 | 7.7% |
| Expedited | 2,958 | 2,498 | 460 | 15.6% |
| Extended review, approved | 51 | |||
Appeals of standard denials
| Appeals filed | — |
| Denials overturned | 353 |
| Overturn rate | — |
This filing publishes no appeal outcome. CMS-0057-F does not require one.
Turnaround
| Mean | Median | |
|---|---|---|
| Standard | 1.3 d | — |
| Expedited | — | — |